Dear Ghavari

Good night, and I wish for your son to improve as soon as

possible.I think the quantity of sodium and potassium are

acceptable. and about the fever we should exclude the 

infection especially the fungus and I told to Dr. yadegari

about using of amphotricin b but he said the patient

do not need to it. ..

I look forward to hearing from you.

Best regards,

S M Alavian,MD

Director, Tehran Hepatitis Center

President, Faculty of Medicine

Baqiatalah Medical Sciences University

Tehran, Iran

14155/3651 post box

0098218963863

sm_alavian@alavian-thc.org

..

-----Original Message-----

From: Behzad Gharavi <bgharavi@yahoo.com>

To: sm_alavian@alavian-thc.org <sm_alavian@alavian-thc.org>

Date: Wednesday, June 20, 2001 9:56 PM

Subject: Parham Gharavi

Dear Dr Alavian,

I thank you by my heart for kindness and visiting my

son, Parham, this morning.

Today morning we negotiated about the future of

Parham’s illness and his medication plan. I’m fully

aware of the difficulty and complexity of accepting my

son’s responsibility with marked complication that has

ranked him as a problem case. I try my best to analyze

the situation from the point of view of a physician: a

patient with fever complication, which logically

diminishes the chance of success for the physicians.

Meanwhile considerably needs more time than a normal

patient. So, although I’m his father, I attend to be

just in judgment.

During the last 2 months I have witnessed having

interest for activity and spending time in this

situation is somehow difficult for some physicians.

Honestly speaking I have made myself ready to hear and

accept this reasoning for many physicians how has

visited Parham (and so from you) your agreement and

admission to assist us in this critical situation his

perceived as a reflection of rooted and powerful human

value in your character which lights up the lengthy

night imposed on my son. I again appreciate your

attitude and through these sentences try to emphasize

that we are aware of what is going on. I hope you will

make the last step and will let me to know how to deal

with you and compensate a little portion of your

kindness and attention in this mutual activity in

future, which maybe even sometimes needed to beg you

to visit him at home.

At the end I want to inform you that hole “work up”

which so far have been done for Parham during last 6

months (from the diagnosing the brain tumor) including

MRIs, CT-Scans, Lab. Results, Doppler Images,

Venography and etc. has been uploaded into an internet

site at the address below:

http://afshing.virtualave.net

And my last question because of increasing drowsiness

during the last 2 days, a blood test has been taken

today which shows, Na: 130, K: 4.3, and also during

the last 2 weeks because of 3200 cc parasantitis he

has experienced about 5 kg. Weight lose and now he is

25 kg.. I look for any guidance to increase his sodium

and weight if necessary.

I would highly appreciate your response.

With respect,

Sincerely yours,

Behzad Gharavi

Parham Memorial

The Children's Hospital Medical Center

Mofid Kids Hospital

Behgar Tavan

Surgery Centre

Tel/Fax: +98 21 2900679    +98 21 2227207

E-Mail: Info@ParhamMedical.org